Abstract：
OBJECTIVE:Physicians often overlook important contextual clues that patients give during an encounter. The objective of our study was to increase medical students' knowledge and skills in identifying contextual issues. METHODS:Six consecutive learning experiences, including a standardized patient (SP) encounter and activities designed to trigger reflection, were implemented within a first-year Introduction to Clinical Medicine course. Evaluation of the intervention was measured through self-confidence, attitudes, SP history checklist, and student and small group facilitator evaluations. RESULTS:Standardized patient encounters, coupled with activities designed to trigger reflection, can help students identify patients' contextual clues. Students' confidence in eliciting patient clues significantly increased after the intervention. Our results suggest that some contextual clues were more difficult for students to elicit. CONCLUSION:Multi-faceted approaches that include activities to trigger reflection are effective in teaching students to recognize and respond to contextual clues, however, more research is needed. PRACTICE IMPLICATIONS:While students elicited most clues in this study, they struggled with identifying some clues. These results suggest the need for additional research and educational development in this area.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Thompson BM,Teal CR,Scott SM,Manning SN,Greenfield E,Shada R,Haidet Pdoi
10.1016/j.pec.2010.06.035subject
Has Abstractpub_date
2010-09-01 00:00:00pages
345-50issue
3eissn
0738-3991issn
1873-5134pii
S0738-3991(10)00397-6journal_volume
80pub_type
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journal_title：Patient education and counseling
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journal_title：Patient education and counseling
pub_type： 杂志文章,meta分析,评审
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abstract：OBJECTIVE:Most women diagnosed with unilateral breast cancer without BRCA1 or BRCA2 mutations are at low risk of contralateral breast cancer. Contralateral Prophylactic Mastectomy (CPM) decreases the relative risk of contralateral breast cancer, but may not increase life expectancy; yet international uptake is increasi...
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journal_title：Patient education and counseling
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更新日期：2012-12-01 00:00:00
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journal_title：Patient education and counseling
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